NPIMap

Individual provider Active NPI

Jacob Tennyson Woods, D.O.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1235424680
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1921 Issued in AZ
Practice address
10120 E Old Vail Rd Ste 100
Tucson, AZ 85747-9414
Phone
(520) 989-8012
Fax
(520) 959-8014
NPI assigned
Jun 14, 2011
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1921 AZ Primary

Addresses

Primary practice location

10120 E Old Vail Rd Ste 100
Tucson, AZ 85747-9414

Mailing address

10120 E Old Vail Rd Ste 100
Tucson, AZ 85747-9414
Phone (520) 989-8012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacob.woods.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811001112 AZ Practitioner - Family Practice 1052538352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

2000 W Bethany Home Rd
Suite 200
Phoenix, AZ 85015-2467
Phone (602) 491-0703

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R1921AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Aug 13, 2018 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Aug 13, 2018 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 3, 2016 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jan 3, 2016 Accepting new patients
RHG of Arizona, PC Family Medicine PastSince Dec 10, 2024 Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

2000 W Bethany Home Rd
Ste 200
Phoenix, AZ 85015
Phone (602) 246-5525

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

8620 N 22nd Ave
Ste 200
Phoenix, AZ 85021
Phone (602) 674-6501

10120 E Old Vail Rd
Ste 100
Tucson, AZ 85747
Phone (520) 989-8012

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Interoperability endpoints

  • Direct secure messaging: jacob.woods.1@1576.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Choice Hospice of ArizonaTucson, AZ, CCN 031716 Hospice Contracted Managing Employee Mar 23, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1235424680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 E OLD VAIL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479414",
            "telephone_number": "520-989-8012",
            "fax_number": "520-959-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 E OLD VAIL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479414",
            "telephone_number": "520-989-8012",
            "fax_number": "520-959-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACOB",
        "middle_name": "TENNYSON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.woods.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "10120 E Old Vail Rd Ste 100",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857479414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.